2019 - 2022 Community Health Improvement Plan

The following pages detail Medicine’s Implementation Strategy. As discussed in the above Community Health Needs Assessment Report, utilizing a survey process conducted by Professional Research Consultants (PRC), the following 11 items were identified as significant health needs in the four-county area referred to as the Omaha Metro area:

Access to Healthcare Services Mental Health Cancer Nutrition, Physical Activity & Weight Dementia, including Alzheimer’s Disease Respiratory Diseases Diabetes Sexually Transmitted Diseases Heart Disease & Stroke Substance Abuse Injury & Violence

Together, the Nebraska Medical Center and have identified three significant health needs to focus on for the 2019-2022 cycle. Those three needs are 1) Access to Healthcare, 2) Mental Health, and 3) Injury and Violence. Both in the system will make these needs a primary focus area, with each targeting the at-risk populations served by that .

The table below illustrates the community health improvement plan for addressing the significant health needs prioritized for the upcoming three year cycle. This community health improvement plan was adopted by the board of The Nebraska Medical Center and Bellevue Medical Center on October 7, 2019.

P a g e | 16 Identified Need 2019 – 2022 Goals Implementation Activities Anticipated Partners Impact

Increase availability/accessibility Evaluate expanded access to Reduce the % of American Cancer Society Access to Care of doctor appointments and needs within Omaha Metro Area. Continue Omaha Metro Area CHI Health expansion of Immediate Care Clinics for points of care for residents of adults reporting Children’s Hospital & Medical Center after-hours access and treatment of minor difficulty obtaining Douglas County Health Department the Omaha Metro Area, with an illnesses and injuries. Expansion planned additional focus on expanding within Fontenelle Health Center in healthcare services Girls, Inc. in the past year Hope Medical Outreach Coalition 31.7% of Omaha Metro care for populations in Northeast targeted area. Omaha Nebraska Methodist Hospital Area adults report Address the barrier of difficulty getting to Comparison: 2015 Ronald McDonald House difficulty or delay in Provide connection between appointments by working with CHNA, 33.9% Sarpy County Health Department obtaining healthcare patients who need assistance and community partners to establish a United Way of the Midlands services in the past community resources transportation support system for patients. University of Nebraska Medical Center year* Continued partnership with community Reduce the % of Assist patients in securing organizations providing access to 6.4% of Omaha Metro prescription medications at the screenings, care and/or education. Omaha Metro Area Area residents reported lowest possible cost residents reporting having more than one Utilization of Nebraska Medicine financial more than one ER counselors for identification of medication visits in the past ER visits in the past Help patients secure health insurance through assistance with assistance programs, healthcare year year* the enrollment process and qualification and enrollment, to include navigation of the healthcare Medicaid expansion in Nebraska. Comparison: 2015 marketplace CHNA, 5.2% Identify additional opportunities in established Patient Centered Medical Improve quality of life through the Home (PCMH) model for further clinical early detection of disease integration within population health management or telehealth strategies to connect patients to screening and resources.

Partner with area health systems to address access to health barriers from a systems perspective. Identified Need 2019 – 2022 Goals Implementation Activities Anticipated Partners Impact

Injury & Violence Reduce the number of Increase the number of Reduce the average Douglas County Health Department Prevention preventable deaths related to educational programs and age-adjusted fall- Grief’s Journey poisoning, falls and motor presentations to educate the related mortality National Safety Council of Nebraska rate for ages 65+ in vehicle accidents community on preventable deaths. the Omaha Metro Nebraska Regional Poison Center Collaborate with Nebraska Area Omaha Police and Fire Between 2014 and 2016, Regional Poison Center on poison Departments there was an annual Participate in community education programs and support of Comparison: US Sarpy County Health Department average age-adjusted initiatives to reduce violent 24/7 emergency phone line. mortality rate, 60.6 Stop the Bleed fall-related mortality crime and build a trauma- per 100,000 University of Nebraska Medical rate of 70.7 deaths (age informed community Participate in community wide population Center 65+) per 100,000 initiatives to reduce violence in the You Turn population in the Omaha Metro Area. Omaha Metro Area. The Decrease the % U.S. rate is 60.6.* reporting Injury and Provide community-based Violence prevention education programs, including Stop as a major problem 45.1% of Key Informants the Bleed, to prepare bystanders in the Omaha Metro perceive Injury and for trauma response and Dusk to Area Violence Prevention as a Dawn, youth violence prevention major problem affecting program. Comparison: 2015 the community in the CHNA – Key Omaha Metro Area+ Partner with community Informants, 55.5% organizations to build a trauma- informed community. Identified Need 2019 – 2022 Goals Implementation Activities Anticipated Partners Impact

Increase the number of health Continue to expand on growing Decrease the % Boystown National Hotline Mental Health practitioners available to see services provided within Nebraska reporting Mental Community Alliance patients at Nebraska Medicine Medicine by increasing providers Health as a major Douglas County Health Department available within treatment areas, problem in the Heartland Family Service including the Intensive Outpatient Program, which integrates cares for Omaha Metro National Alliance on Mental Illness 79.1% of Key Informants Increase the capacity to treat individuals with addiction and Area - Nebraska perceive Mental Health patients with co-occurring psychiatric disorders. Sarpy County Health Department as a major problem mental health and substance Comparison: 2015 University of Nebraska Medical affecting the community use problems Implement new psychiatry emergency CHNA – Key Center in the Omaha Metro service (PES) to provide rapid Informants, 77.5% Area+ assessment and initiation of treatment Decrease the stigma associated for psychiatric patients presenting to with mental illness through the . This new, communication, education and separate space will provide immediate psychiatric evaluation and treatment community awareness in a calm, therapeutic environment and can provide stabilization within 24 hours without hospitalization.

Participate in community collaborative project addressing social determinants of health and mental health issues by leveraging multisector partnerships and partnering with local community. Use this framework to identify additional future opportunities.

Partner with community organizations to provide information, education, and research on mental health and suicide prevention.